Fast pulse

Introduction When the pulse exceeds 100 times and is as thin as a thin line, it is called pulse fine speed. The pulse speed is mainly caused by tachycardia. The fineness is the concept in traditional Chinese medicine. The fine veins are both qi and blood deficiency, and all strains are strained. The pulse rate is mainly caused by tachycardia, so active treatment of the primary disease causing tachycardia can effectively prevent the disease.

Cause

The pulse speed is mainly caused by tachycardia. The fineness is the concept in traditional Chinese medicine. The fine veins are both qi and blood deficiency, and all strains are strained. Because of the illness and qi deficiency, the blood can not be filled, and the blood is weak and weak. Wet evil resists the pulse, and fine veins are also visible. The diseases that cause rapid pulse rate include isotonic dehydration, intestinal obstruction, suppurative pelvic thrombophlebitis, and septic shock.

an examination

Related inspection

Pulse pulse wave velocity

Before the pulse, let the patient rest quietly for a while, avoid activities and excessive excitement, and affect the accuracy of the pulse. When counting pulses, not only the number of beats per minute, but also the rhythm, elasticity and strength of the pulse. The normal person's pulse is powerful and flexible, and it is easy to touch on the flexor artery that beats the outside of the palm of the hand. Adults can be diagnosed with a fine pulse rate if they measure more than 100 beats per minute and follow a thin line.

Differential diagnosis

Pulse speed symptoms need to be differentiated from the following symptoms:

1, intestinal obstruction:

The main clinical manifestations of intestinal obstruction are abdominal pain, vomiting, abdominal distension, no stool and no anal exhaust.

(A) abdominal pain: simple mechanical intestinal obstruction is generally paroxysmal severe colic.

(B) vomiting: vomiting can occur soon after the obstruction, and then enter a period of quiescence, and then vomiting time depends on the location of the obstruction.

(3) Abdominal distension: Abdominal distension usually begins to appear after a period of obstruction.

(4) Defecation and exhaustion stop: Defecation and exhaustion will stop after complete obstruction occurs.

(5) Shock: In the early stage of simple intestinal obstruction, there is no obvious change in general condition. After that, there may be signs such as rapid pulse rate, decreased blood pressure, pale complexion, depressed eyeball, decreased skin elasticity, and cold limbs.

2, isotonic dehydration:

Mainly rely on medical history and clinical manifestations. To ask in detail about the loss of body fluids, how much is the amount of fluid lost per day? How long does it last? The traits of fluid loss. The amount of extracellular fluid and serum sodium were measured to understand the lack of water and sodium loss. Serum Na+ and Cl- were generally not significantly reduced, and plasma osmotic pressure was in the normal range. The urine specific gravity is increased. Red blood cell count, hemoglobin volume, and hematocrit were significantly increased, indicating blood concentration. Blood gas analysis can be performed if necessary to determine whether there is an imbalance in acid-base balance.

3. Injury shock:

It is important to make an early diagnosis. It is sometimes too late to diagnose shock after a drop in blood pressure. Whenever there is a lot of blood loss, water loss or serious trauma, you should think about the possibility of shock. During the observation process, if the patient is found to have mental excitement, irritability, cold sweat, accelerated heart rate, small pulse compression, and decreased urine output, it should be considered that there is shock. Such as the sick population thirsty, ambiguous, unresponsive, pale skin, cold sweat, cold limbs, shallow and fast breathing, rapid pulse, systolic blood pressure below 12kPa (90mmHg) and less urine Shock inhibition period. As for the diagnosis of septic shock, it may be considered according to the presence of a serious infection in the patient, some clinical manifestations of the shock compensation period, or sudden hyperventilation. High-resistance septic shock has some manifestations of shock performance, and diagnosis is not difficult. However, patients with low-resistance septic shock lack the shock performance of these observations, and the diagnosis is difficult. Some special examinations are needed to confirm the diagnosis.

Before the pulse, let the patient rest quietly for a while, avoid activities and excessive excitement, and affect the accuracy of the pulse. When counting pulses, not only the number of beats per minute, but also the rhythm, elasticity and strength of the pulse. The normal person's pulse is powerful and flexible, and it is easy to touch on the flexor artery that beats the outside of the palm of the hand. Adults can be diagnosed with a fine pulse rate if they measure more than 100 beats per minute and follow a thin line.

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